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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - There were indeed many gains made in the past 10 years—improvements in healthcare-acquired infections … Traditionally, we have had a lot of measures around healthcare-acquired infections. … For example, we know that having femoral catheters can lead to more central line infections . … Then, if it is appropriate, remove them, or change them, to prevent central line-associated bloodstream … infections from happening.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-creating-efficiencies-extraction-data.pdf
August 01, 2021 - infection (CRBSI) rates in pediatric
hematology-oncology patients with central venous catheters (CVCs … ).
3 Prevention of central venous catheter-associated bloodstream infections in paediatric
oncology … chlorhexidine dressing on health care-associated infection in hospitalized
patients: A meta-analysis … infections in pediatric hematology-oncology
patients. … A randomized trial of the effectiveness
of the neutropenic diet versus food safety guidelines on infection
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
September 01, 2025 - for adult blood culture collection to promote best
practices and improve the laboratory diagnosis of bloodstream … Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
August 1, 2025, 10 AM–noon
4
infections
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - bundle of
complementary interventions to tackle complex patient safety problems (e.g., catheter-related bloodstream … infections), our group hypothesized in 2008 that implementing a bundle of interventions to improve
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - Sepsis is a potentially catastrophic condition that can escalate from infection to organ failure and … Children with infections often display the inflammatory triad of fever, tachycardia, and
vasodilation … Group B streptococci, Escherichia coli, Listeria, and herpes simplex virus
commonly cause neonatal infections … are
caused by Candida species, which is associated with the highest mortality (40 percent) of all
bloodstream … shock are the lungs, bloodstream, abdomen, urinary tract, and skin and soft tissue (Bochud,
et al.,
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hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
January 01, 2014 - The percentage
of hospitals with no catheter-
related blood stream infections
increased the most, from … Rate
Serious infection that occurs when harmful bacteria enter the
bloodstream through a tube inserted … 2014, the largest decline was noted in the number of central venous catheter-
related blood stream infections … Iatrogenic pneumothorax rate (PSI 06)b 0.27 0.24 –11.1
Central venous catheter-related blood stream infection … 11)
In hospital fall with hip fracture
rate (PSI 08)
Central venous catheter-related blood
stream infection
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Bloodstream infection, venous thrombosis, and peripherally inserted central catheters: reappraising the
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - safety field
has begun to make measurable inroads in some areas, such as reducing hospital-acquired infections … When there have been focused efforts in
particular arenas, certainly catheter-related bloodstream infections
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hcup-us.ahrq.gov/reports/methods/2019-01.pdf
January 01, 2019 - a surgical class 4
procedure for appendicitis, infectious or parasitic diseases, or
postoperative infections … PDI12 Admissions with central venous
catheter-related bloodstream
infection per 1,000 medical and … , age less than 18 years
The AHRQ PDI software requires that the central venous
catheter-related bloodstream … PSI07 Admissions with central venous
catheter-related bloodstream
infection per 1,000 medical and … or
obstetric admissions
The AHRQ PSI software requires that the central venous
catheter-related bloodstream
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - was found to have ascites on examination, and the team decided to perform paracentesis to rule out infection … Unlike other adverse events in the acute care setting (e.g., line infections) that are prevented by implementing … Eliminating catheter-related bloodstream infections in the intensive care unit.
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www.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - On the CUSP: Stop BSI: Evaluating the relationship between central line–associated bloodstream infection
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 01, 2018 - Sepsis is a potentially catastrophic condition that can escalate from infection to organ failure and … Children with infections often display the inflammatory triad of fever, tachycardia, and
vasodilation … Group B streptococci, Escherichia coli, Listeria, and herpes simplex virus
commonly cause neonatal infections … are
caused by Candida species, which is associated with the highest mortality (40 percent) of all
bloodstream … shock are the lungs, bloodstream, abdomen, urinary tract, and skin and soft tissue (Bochud,
et al.,
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - developmentally appropriate
but quite fragile medically, with multiple recent admissions for anemia and infections … adverse effects of PN include
complications associated with intravenous access (e.g., thrombosis, bloodstream … infection) and metabolic
homeostasis (e.g., hyper- or hypoglycemia, fluid and electrolyte disorders
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-chemotherapy-dental.pdf
July 01, 2023 - addition to being a
serious adverse event, mucositis also facilitates entry of oral bacteria into the bloodstream … The first is that examination by a dentist
can identify local sources of active infection, such as oral … Four of the studies examined the
outcome of major infection,10, 26, 44, 45 9 examined the outcome of … The synthesis found
that the infection rates during treatment ranged from 0 to 4%, which aligns with … Should oral foci of infection be removed before
the onset of radiotherapy or chemotherapy?
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - improvement for a number of
healthcare-associated conditions, including the failure to reduce postoperative, bloodstream … , and
catheter-associated urinary tract infections (AHRQ, 2010). … room layout, and others, contribute to adverse patient safety outcomes
like healthcare-associated infections … of collecting baseline
data around key patient safety outcomes, such as falls, healthcare-associated infections … findings from using these tools as well as documentation from other risk
assessments, such as the Infection
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - that in the bigger picture, nearly 100,000 patients die in our hospitals from healthcare-associated infections … when we think about CLABSI, there's an estimated 30,000 to 62,000 deaths from central line-associated bloodstream … infections per year. … we summarized, that we know are from the guidelines for how to prevent a catheter line-assosciated bloodstream … infection when placing the central line.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - that in the bigger picture, nearly 100,000 patients die in our hospitals from healthcare-associated infections … when we think about CLABSI, there’s an estimated 30,000 to 62,000 deaths from central line-associated bloodstream … infections per year. … we summarized, that we know are from the guidelines for how to prevent a catheter line-assosciated bloodstream … infection when placing the central line.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
April 01, 2013 - likely to
exceed the possible benefit (e.g., using an antibiotic to treat
an upper respiratory viral infection … A measure related to misuse was the rate
of pediatric central line-associated bloodstream infections … are included in the ‘Meaningful Use’ EHR
incentive program are asthma, ADHD, and upper respiratory
infections
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - data
showed a marked increase in hospital-acquired conditions, including central line-associated
bloodstream … infections, ventilator-associated events, hospital-acquired pressure injuries, patient
falls, and catheter-associated … urinary tract infections during the COVID-19 pandemic (Lake et al.,
2024). … system lens rather than
individual improvement efforts in specific areas
such as healthcare-associated infections
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - means making sure that the dressings stay clean, dry, and
occlusive to prevent a catheter-related bloodstream … infection (CR-BSI) and making sure that the lines are
flushed properly so they don't occlude.